Nokea
Which of the following is an example of an environmental factor that could influence decision-making in nursing?
- A. Personal preferences
- B. Ethical considerations
- C. Availability of resources
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because all the choices (A, B, C) are examples of environmental factors that can influence decision-making in nursing. Personal preferences can affect how a nurse chooses a treatment plan. Ethical considerations impact decisions regarding patient care. The availability of resources, such as staffing or medical supplies, can constrain decision-making. Therefore, considering all these factors collectively (personal preferences, ethical considerations, and availability of resources) is crucial in making informed nursing decisions.
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How can a staff nurse recognize they are experiencing burnout? (EXCEPT)
- A. They are spending more time talking to staff on other units.
- B. Staff is questioning their clinical judgment.
- C. They sleep longer hours, sometimes coming in late to work.
- D. They are drinking alcohol more frequently to relax.
Correct Answer: A
Rationale: Rationale: A staff nurse experiencing burnout may isolate themselves, leading to less interaction with staff on other units. This can result in spending less time talking to staff on other units. Choices B, C, and D are incorrect as they are common signs of burnout: staff questioning clinical judgment, increased sleep, and increased alcohol consumption.
A nurse is assessing a client's readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn?
- A. "I can concentrate best in the morning."
- B. "It is difficult to read the instructions because my glasses are at home."
- C. "I'm wondering why I need to learn this."
- D. "You will have to talk to my partner about this."
Correct Answer: D
Rationale: The correct answer is D because it shows the client is willing to involve their partner in the learning process, indicating readiness for education. Involving a partner can enhance support and understanding, leading to better adherence. A: Time preference does not directly relate to readiness to learn about insulin. B: Difficulty reading instructions due to glasses is a practical issue, not an indicator of readiness. C: Expressing doubt or questioning the necessity of learning indicates potential resistance or lack of motivation.
Which of the following is one of the positive benefits of conflict within an organization?
- A. Conflict leads to compromise on values and beliefs.
- B. Conflict leads to intergroup competition.
- C. Conflict helps people recognize differences and motivates people towards improved performance.
- D. Conflict always leads to a win-win resolution.
Correct Answer: C
Rationale: The correct answer is C because conflict can help individuals recognize differences and perspectives, leading to increased understanding and motivation for improved performance. Conflict can stimulate creativity and innovation, encouraging teams to consider different viewpoints and solutions. It does not always result in a win-win resolution (D) as conflicts can have winners and losers. Compromising on values and beliefs (A) is not a positive outcome of conflict, as it may undermine organizational integrity. Intergroup competition (B) may escalate conflicts and hinder collaboration.
When a nurse observes a fellow nurse preparing an incorrect dose of medication, what is the best action to take?
- A. Ignore the error
- B. Administer the medication anyway
- C. Correct the error without informing the nurse
- D. Report the error to the supervisor immediately
Correct Answer: D
Rationale: The correct answer is D: Report the error to the supervisor immediately. This action prioritizes patient safety and prevents harm. It follows ethical guidelines by promoting transparency and accountability. Reporting the error also upholds professional standards and fosters a culture of continuous learning and improvement. Ignoring the error (A) risks patient harm. Administering the medication anyway (B) compromises patient safety. Correcting the error without informing the nurse (C) overlooks the importance of addressing the root cause and preventing future mistakes.
Which of the following is an example of a tertiary prevention activity?
- A. Administering immunizations
- B. Physical therapy for stroke patients
- C. Routine health screenings
- D. Health education campaigns
Correct Answer: B
Rationale: The correct answer is B: Physical therapy for stroke patients, as it falls under tertiary prevention aimed at reducing the impact of a disease or disability. Physical therapy helps stroke patients regain function and improve quality of life post-onset. A: Administering immunizations is an example of primary prevention, preventing a disease from occurring. C: Routine health screenings are a form of secondary prevention, detecting diseases early to prevent progression. D: Health education campaigns can be both primary (preventing disease occurrence) or secondary prevention (early detection).